Individual provider · Type 1 NPI
Mary Ellen Diver
Administrator Registered Nurse · Hicksville, NY
NPI number
1851758205
Active
Practice location
28 April Ln
Hicksville, NY 11801-4453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 308422-1 (NY) |
Administrator Registered Nurse: Definition to come...
Other administrator registered nurse providers in Hicksville
About NPI 1851758205
Mary Ellen Diver's National Provider Identifier is 1851758205, issued on Jan 15, 2016. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Hicksville, NY. The record was last updated on Jan 15, 2016.